题名

臺灣醫療體系之韌性防疫省思與變革

并列篇名

Reflection and Transformation of Health System Resilience to Win the Pandemic Attacks in Taiwan

DOI

10.6530/YYN.202207_16(2).0001

作者

郭鐘太(John-Tai Kuo);詹尚易(Shang-Yih Chan);邱逸淳(Yi-Chun Chiu);璩大成(Dachen Chu)

关键词

COVID-19 ; 韌性防疫 ; 疫災準備 ; 公共衛生 ; 醫院管理 ; COVID-19 ; hospital management ; resilience ; public health

期刊名称

源遠護理

卷期/出版年月

16卷2期(2022 / 07 / 01)

页次

5 - 13

内容语文

繁體中文

中文摘要

韌性防疫和醫療衝擊準備是自2019年COVID-19疫情爆發之後,無論是政府單位、公衛體系、醫療院所、個人防疫都必須面對的課題。本文以實務面運作資料為出發,學理和研究為背景進行相關討論,並提出建議,期以相關經驗提供更多思考。本文實際觀察疫情對整體醫療體系的衝擊,並闡述相關省思,提出具體醫療體系韌性防疫的方式、健康監控作為、評估計劃和運作模型,並述及臺北市聯合醫院醫療體系COVID-19防疫的因應作為和韌性防疫的醫療轉型與變革。

英文摘要

Health system resilience, preparedness and response capacities are the essential components of winning the next possible pandemic attacks. How to engage the whole society and health systems for effective interventions is a complex topic and challenge for the government, public health, healthcare system and each individual. The purpose of this article was to provide applicable advices and practical strategies for pandemic preparedness based on the literature review, our actual experience, and real world data analysis. The development of health system monitor, evaluation, and resilience model will be the foundation to advance and transform our healthcare and operation activities for the post-pandemic world.

主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. (2020).COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University. (2020, January 31). https://github.com/CSSEGISandData/COVID-19.https://github.com/CSSEGISandData/COVID-19
  2. Coronavirus disease 2019 (COVID-19). situation reports. (2020, February 17). https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports
  3. BBC news(2021a,4月2日).肺炎疫情:美國在這場新冠危機中的對與錯。https://www.bbc.com/zhongwen/trad/world-52132644
  4. BBC news(2021b,5月3日).印度新冠疫情:缺氧問題進入第二周,單日死亡數屢創新高。https://www.bbc.com/zhongwen/trad/world-56968540
  5. Bloomberg (2022, March 30). The Covid Resilience Ranking - The Best and Worst Places to Be as Covid Travel Curbs Fall Away. https://www.bloomberg.com/graphics/covid-resilience-ranking/
  6. Blumenthal, D.,Fowler, E. J.,Abrams, M.,Collins, S. R.(2020).Covid-19 implications for the health care system.New England Journal of Medicine,383,1483-1488.
  7. Dong, E.,Du, H.,Gardner, L.(2020).An interactive web-based dashboard to track COVID-19 in real time.Lancet Infectious Disease,20(5),533-534.
  8. U.S. Department of Health and Human Services (HHS) - HHS Office of the Assistant Secretary for Preparedness and Response (2021, November 16). Regional Disaster Health Response System. https://www.phe.gov/Preparedness/planning/ RDHRS/Pages/default.aspx
  9. 今周刊(2020,3月23日 ).「我從未看過這麼多人同時死去」義大利醫護:我們能給大家最寶貴教訓就是這件事。https://www.businesstoday.com.tw/article/category/80398/post/202003230027/
  10. 民視新聞(2021,1月15日).巴西武肺疫情嚴重死亡增加氧氣不足向美國求援。https://today.line.me/tw/v2/article/31Y67Z
  11. 自由時報(2020,4月25日).為抗疫犧牲.義大利至少有150名醫生病死。https://news.ltn.com.tw/news/world/breakingnews/3145198
  12. 郭鐘太(2021,7月8日).社區型急診快篩站運作實務與問題。衛生福利部疾病管制署,https://www.youtube.com/watch?v=WiQIfYnh444
  13. 報導者(2021,6月2日).COVID-19風暴的醫療倫理撞擊:「沒有呼吸器、也沒病房了,你去問問病人要不要簽DNR ?」https://www.twreporter.org/a/covid-19-medical-ethics-impact
  14. 衛生福利部疾病管制署(Taiwan centers for disease control)(2020,4月27日).傳染病介紹-嚴重特殊傳染性肺炎。https://www.cdc.gov.tw/Category/Page/vleOMKqwuEbIMgqaTeXG8A
  15. 聯合報(2021,10月17日).日本備戰第6波疫情17地恐缺約5000病床。https://udn.com/news/story/121707/5822756
  16. 關鍵評論(2020,2月7日).南韓版和平醫院?至少23人被列「武漢肺炎」高危險群,光州21世紀醫院封院。https://www.thenewslens.com/article/130927